| NPI | 1396987004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DIAZ Director 305-261-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC4476) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2011-01-13 |